What are the responsibilities and job description for the Oasis Review Specialist position at Excelin Health Services?
Job Title/Position: OASIS Review Specialist
Reports to: Director of QA
Position Summary: The OASIS Review Specialist is a professional responsible for analyzing data integrity and consistency of OASIS documentation and assessment processes as well as correct coding for all clinical service claims to ensure appropriate reimbursement. Works with staff in education of coding and oasis, educates coding per ICD-10 Coding Guidelines. Responsible to monitor and inform organization of changes in coding practice and maintain accurate coding and timely billing of lab accounts.
ESSENTIAL JOB FUNCTIONS/RESPONSIBILITIES
Patient Care:
- Prospectively reviews all OASIS assessments to ensure appropriateness, completeness, and compliance with federal and state regulations and organization policy
- Utilizes OASIS variation or alert reports when reviewing OASIS data.
- Assigns and ensures appropriate ICD-10 coding and sequencing as it relates to the patient's medical condition, including any co-morbidities.
- Reviews visit utilization for appropriateness of care guidelines and patient condition; reports potential financial lasses and/or underutilization to the clinical manager/designee
- Works with managers to address trends that affect the agency's outcome and process measures noted during OASIS review
- Assists and provides education related to OASIS and documentation training as assigned
- Participates in Quality improvement and Corporate Compliance activities as assigned.
- Maintains professional and technical knowledge by attending educational workshops and reviewing professional publications.
Communication:
- Consults with appropriate clinical staff to clarify any data integrity issues and works with clinician to make appropriate corrections per organization policy.
- Notifies organization leadership of problematic trends as a result of OASIS review.
Additional Duties:
- Assists with other chart audit activities as assigned
- Maintains certifications & licenses as required and applicable
POSITION QUALIFICATIONS
1.One (1) to Iwo (2) years of clinical home health experience required.
2.Working knowledge of OASIS and ICD-10 coding.
3.OASIS certification (COS-C) or (HCS-O) required.
4.Home Health Care Coding certification (HCS-D) or equivalent required.
5.Knowledge of federal regulations and state licensure requirements.
6.Working knowledge of computer systems.
7.Possess and maintains current CPR certification.
8.Licensed driver with automobile that is in good working order and insured in accordance with organization requirements.
SKILLS REQUIRED
1.Excellent coordination and communication skills.
2.Detail oriented and able to work with minimal supervision
Salary : $45,200 - $57,300
